Hi
I think we are missing a point here and drifting away from the main purpose.
1. I am not aware of any clinician or any incidence in clinical practice of
the cuff size being recorded in 'mm, cm, m, dm, hm, km'
2. The importance of the cuff size is to know whether the BP was measured
using an appropriate size cuff for that particular individual.
3. The sizes such as Adult, paediatric etc should refer not to the size in
units but with reference to the population/country that it is used in.
4. eg. For an adult pygmy having his blood pressured measured in Pygmyland
would require an adult (pygmy) size cuff for appropriate recording.
A paediatric pygmy would have his blood pressure measured using a
paediatric (pygmy) sized cuff.
However, if the pygmy was having his pressure measured in Dutchland
or UK the appropriate sized cuff would probably a paediatric (UK) or a young
adult(UK) size.
What I am trying to emphasize here is that the recording the cuff size as
Adult, paediatric etc sholud be qualitative rather than quantitative.
Regards
Jag
Dr.S.Jagannathan
-----Original Message-----
From: [email protected]
[mailto:openehr-clinical-bounces at openehr.org] On Behalf Of Gerard Freriks
Sent: 04 January 2008 23:11
To: For openEHR clinical discussions
Subject: Re: BP cuff sizes
Hi to all,
Cuff size names are the problem?
To me its simple:
All cuffs have a size.
Sizes are expressed as ..., mm, cm, m, dm, hm, km, ...
What terms people have for a cuff size is decided among them selves.
It changes from context to the next, from community to the next, from one
language to the next, even from one dialect to the next.
Are pigmee adults as big as Masai or Dutchman?
But the cuff size is and always be expressed in xxx centimeters.
GF
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Gerard Freriks, MD
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T: +31 252544896
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E: gfrer at luna.nl
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On Jan 4, 2008, at 7:58 PM, Ian McNicoll wrote:
I am impressed by Tom's dedictaiton to detail!! but I'm not sure that, at
least in GP-land, such considerations of variations in cuff-size definition
amount to very much when set against the huge number of other confounding
variables such as patient anxiety/anger, doctors rounding down to the
nearest 10mmHg, constricting clothing etc,etc,etc
I am happy with the broad defs of cuff sizes and don't feel we need to be,
or indeed can be, overly precise in this area.
Ian
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